TX HHS Form 2810. Youth Empowerment Services (YES) Waiver - Participant Agreement

The TX HHS Form 2810, Youth Empowerment Services (YES) Waiver - Participant Agreement, is a crucial document that helps solve the problem of ensuring participant understanding and consent for services provided through the YES Waiver program. This form is typically completed by Comprehensive Service Providers (CSPs) or Wraparound Provider Organizations (WPOs), as well as participants and their legally authorized representatives.

This agreement outlines key features, including required information such as participant eligibility, service identification, and authorization procedures. It also emphasizes the importance of active participation in Child and Family Teams, which determine individualized plans of care. The form highlights conditions for program participation, responsibilities, and follow-up actions, ensuring that participants understand their roles and expectations.

The YES Waiver program provides a range of services to eligible participants, including Medicaid State Plan services. By choosing to participate in the program, individuals agree to certain responsibilities and expectations, such as being an active member of their Child and Family Team and participating fully in the development of their Individual Plan of Care (IPC). Key points to note include:

• Eligibility for Medicaid State Plan services while enrolled in the YES Waiver program
• Identification and authorization of services through the Wraparound process
• Active participation in Child and Family Teams and development of Individual Plans of Care (IPCs)
• Scheduling and attending service appointments, with notification of missed appointments and rescheduling as needed